Are Medicare gap plans worth it?


Editorial team Published on

Medigap is worth it if you want predictable medical bills and the freedom to visit any doctor who accepts Medicare.

The Pros of Medigap

  • No Networks: You can see any specialist or go to any hospital in the United States that takes Medicare, without needing a referral.
  • No Pre-Authorizations: Insurance companies cannot block or delay treatments that Medicare already approves.
  • Fewer Surprises: Most plans cover the 20% coinsurance and hospital costs that Original Medicare leaves behind. For example, popular choices like Plan G cover nearly all costs after you pay the $283 Part B deductible in 2026, as detailed on GoodRx.
  • High Satisfaction: A report by Senior65 shows that 93% of enrollees are happy with their Medigap coverage.

The Cons of Medigap

  • Higher Monthly Premiums: You pay a monthly fee just to keep the policy active, which often costs more upfront than some Medicare Advantage plans.
  • No Extra Benefits: Medigap does not pay for prescription drugs, dental, vision, or hearing care. You must buy separate plans for those needs.
  • Rising Prices: Premiums can increase as you get older.